News and updates

Effective March 15, 2021, prior authorization for deep sedation will no longer be required for: 
•    Upper endoscopy,
•    Colonoscopy,...

Effective January 21, 2021, when processing claims, PacificSource will follow ICD-10-CM guidelines on inappropriate diagnosis combinations. The current guideline states, “'An...

PacificSource Health Plans and PacificSource Community Solutions are notifying providers of COVID-19 vaccine reimbursements for dates of...

Applications received April 1–30 will have an effective date of May 1, 2021.  This applies to:  New and existing enrollees On...

Updates on Existing Criteria: May 2021. The following changes to criteria are effective May 22, 2021: Prior Authorization Criteria – Clinical Updates Carbaglu...

PacificSource Health Plans is pleased to announce Lisa Brown has been promoted to the role of Client Service Representative. Lisa will partner with you to provide service and support...

Special enrollment periods (SEP) in Montana, Oregon, and Washington began February 15.  The uninsured enrollment period for Idaho begins March 1.  SEPs may include consumers on and off...

Updates on Existing Criteria April 2021. The following changes to criteria are effective April 22, 2021: Preauthorization Criteria – Clinical Updates...

Effective May 17, 2021, PacificSource Health Plans will require prior authorization for the following nuclear medicine and SPECT/CT codes:...

Updates on Existing Criteria: March 2021. The following changes to criteria are effective March 22, 2021: Preauthorization Criteria – Clinical Updates Arcalyst...